HEALING PINES RECOVERY, LLC. (NPI# 1215574413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215574413 |
Entity Type | Organization |
Organization Name | HEALING PINES RECOVERY, LLC. |
Practice Address |
5550 County Road 124 Elizabeth CO 80107 |
Mailing Address |
Po Box 1950 Elizabeth CO 80107-1950 |
Practice Telephone | 9493040040 |
Enumeration Date | 2019-12-06 |
Last Update Date | 2019-12-06 |
Authorized Official Name | MR. JOHN TUCKER (COO) |
Authorized Official Telephone | 2086805663 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
Street Address |
5550 COUNTY ROAD 124 |
City | ELIZABETH |
State | CO |
Zip Code | 80107 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083113146 | Integrative Counseling and Art Therapy | Clinic/Center | 133 E Grant St, Elizabeth, CO 80107 | 2018-02-05 |
1386161826 | Anastasia Romero | Social Worker | 650 E. Walnut Unit C, Elizabeth, CO 80107 | 2017-08-25 |
1659819605 | Goodman Young Pllc | Dentist | 796 E. Kiowa Ave., Suite H12, Elizabeth, CO 80107 | 2017-02-09 |
1912444001 | Kenneth Robertson | Social Worker | 650 East Walnit, Elizabeth, CO 80107 | 2017-01-26 |
1801204441 | Darnella L Archer | Counselor | 133 County Road 17, C2f, Elizabeth, CO 80107 | 2014-07-28 |
1598189367 | Margaret Ann Mckee | Counselor | 650 W. Walnut, Unit C, Elizabeth, CO 80107 | 2014-02-13 |
1164777660 | Alexis Thurlow | Counselor | 950 E. Walnut, Elizabeth, CO 80107 | 2012-07-20 |
1184979858 | John Duhamel | Counselor | 650 E. Walnut St, Elizabeth, CO 80107 | 2012-07-19 |
1275835506 | Aaron T. Shea | Social Worker | 650 E. Walnut, Unit C, Elizabeth, CO 80107 | 2010-11-18 |
1043532013 | Robert Smith | Registered Nurse | 34052 Prairie Cr, Elizabeth, CO 80107 | 2010-02-18 |
Find all providers in zip 80107 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
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1790328607 | Gallus Detox Denver LLC | Substance Abuse Rehabilitation Facility | 5920 S Estes St Ste 150, Littleton, CO 80123-8620 | 2019-10-23 |
1114584232 | Scw Recovery LLC | Substance Abuse Rehabilitation Facility | 330 Fiedler Ave, Ste 103, Dillon, CO 80435 | 2019-05-23 |
1902462617 | Colorado West Regional Mental Health, Inc. | Substance Abuse Rehabilitation Facility | 2800 Riverside Pkwy Bldg 2, Grand Junction, CO 81501-4721 | 2019-05-17 |
1487122057 | Valiant Dtx, LLC | Substance Abuse Rehabilitation Facility | 2602 S Ensenada Way, Aurora, CO 80013-7690 | 2018-11-12 |
1609352186 | Mountain Springs Recovery LLC | Substance Abuse Rehabilitation Facility | 1865 Woodmoor Dr, Monument, CO 80132 | 2018-07-17 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.